Breast Fat Transfer for Cup Size Asymmetry

Q: Dr. Eppley, I’m interested in breast fat transfer to just my left breast. My left breast is like an A Cup and my right is a B cup. Im looking to achieve better symmetry. I’m 28 yrs old in good health. I weigh around 115 and am 5 ft tall. I believe I have enough inner thigh fat to achieve my goal. Is fat transfer or fat grafting a good long lasting procedure? How much would this procedure cost?

A:Thank you for your inquiry and sending your pictures. Given the one cup size difference between your breasts and only wanting to improve the asymmetry, breast fat transfer over an implant is a logical choice. The advisability of that treatment option depends on two key factors: 1) how much fat you have to harvest (aka is there enough to do the job) and 2) the patient’s understanding that injectable fat grafting is not completely predictable in terms of survival. It takes a lot more fat to do injection treatments than all patients think and I would question whether someone at 115lbs and using the inner thighs as the donor source would have enough fat to do so. But that determination awaits an assessment of the smaller breast’s volume needs and the generosity of your inner thigh fat.

Dr. Barry Eppley

Indianapolis, Indiana